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| Prevalence of hypertension based on three separate visits among primaryand middle school students in Suzhou City |
| HAN Di1, SHEN Mingzhu2, SHI Bing3, HAI Bo1, DING Ziyao1, YIN Jieyun4, SHEN Hui1, HU Jia1
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1. Department of School Health, Suzhou Center for Disease Control and Prevention, Suzhou, Jiangsu 215004, China;
2. Changshu Center for Disease Control and Prevention, Changshu, Jiangsu 215500, China;
3. Suzhou Industrial Park Center for Disease Control and Prevention, Suzhou, Jiangsu 215021, China;
4. School of Public Health, Soochow University, Suzhou, Jiangsu 215006, China |
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Abstract Objective To investigate the prevalence of hypertension among primary and middle school students living in Suzhou City, Jiangsu Province, so as to provide insights into comprehensive hypertension control among children and adolescents. Methods Primary and middle school students at ages of 7 to 17 years were recruited for a questionnaire survey in Suzhou City using the stratified cluster random sampling method from September to December, 2020, and the height and body weight were measured. Blood pressure was measured at three separate clinic visits according to the national criteria Reference of Screening for Elevated Blood Pressure among Children and Adolescents Aged 7-18 Years ( WS/T 610-2018 ), and the detection of elevated blood pressure was estimated at three separate visits. In addition, factors affecting elevated blood pressure were identified. Results A total of 3 713 students were enrolled, including 1 924 boys ( 51.82% ) and 1 789 girls ( 48.18% ). The detection of elevated blood pressure was 13.63%, 5.36%, and 3.37% at three separate visits, respectively, and the prevalence of hypertension ( elevated blood pressure at all three visits ) was 3.37%. The detection rates of elevated blood pressure were all higher at three visits ( 16.90%, 8.40%, and 5.26% ) among students at ages of 12 to 17 years than among students at ages of 7 to 11 years ( 9.65%, 1.67%, and 1.07%, P<0.05 ). The detection of elevated blood pressure was significantly higher in boys ( 15.23% ) than in girls (11.91%) at the first visit ( P<0.05 ), while no significant differences were seen at the second or third visit ( P>0.05 ). In addition, higher detection rates of elevated blood pressure were seen in obese ( 27.62%, 11.51%, and 7.06% ) and overweight students ( 17.45%, 6.95%, and 4.85% ) than in students with normal weight ( 9.44%, 3.54%, and 2.15% ) at all three visits, and greater detection rates of elevated blood pressure were found in obese students than in overweight students at the first and second visits ( P<0.017 ). Conclusions The prevalence of hypertension was 3.37% based on three separate visits among primary and middle school students in Suzhou City. Measurement of blood pressure at three separate visits within different days is effective to reduce the false positive rate of hypertension and decrease misdiagnosis among children and adolescents.
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Received: 17 August 2021
Revised: 01 November 2021
Published: 14 February 2022
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[1] 马淑婧,羊柳,赵敏,等. 1991—2015年中国儿童青少年血压水平及高血压检出率的变化趋势[J]. 中华流行病学杂志,2020,41(2):178-183.
MA S J,YANG L,ZHAO M,et al.Changing trends in the levels of blood pressure and prevalence of hypertension among Chinese children and adolescents from 1991 to 2015[J]. Chin J Epidemiol,2020,41(2):178-183.
[2] YANG L,SUN J,ZHAO M,et al.Elevated blood pressure in childhood and hypertension risk in adulthood: a systematic review and meta-analysis[J]. J Hypertens,2020,38(12):2346-2355.
[3] 褚光萍,王瑛,沈蕙,等. 苏州市中学生抑郁与血压的关联分析[J]. 预防医学,2020,32(6):608-611.
CHU G P,WANG Y,SHEN H,et al.Relationship between depression and blood pressure among middle school students in Suzhou[J]. Prev Med,2020,32(6):608-611.
[4] ROTH G A,MENSAH G A,JOHNSON C O,et al.Global burden of cardiovascular diseases and risk factors,1990-2019:update from the GBD 2019 Study[J]. J Am Coll Cardiol,2020,76(25):2982-3021.
[5] FLYNN J T,KAELBER D C,BAKER-SMITH C M,et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents [J/OL]. Pediatrics,2017,140(3)[2021-11-01]. https://doi.org/10.1542/peds.2017-1904.
[6] 中华人民共和国国家卫生健康委员会. 7岁~18岁儿童青少年血压偏高筛查界值:WS/T 610—2018[S]. 北京:中国标准出版社,2018.
National Health and Family Planning Commission of the People's Republic of China. Reference of screening for elevated blood pressure among children and adolescents aged 7-18 years:WS/T 610-2018[S]. Beijing:Standards Press of China,2018.
[7] SONG P,ZHANG Y,YU J,et al.Global prevalence of hypertension in children:a systematic review and meta-analysis[J]. JAMA Pediatr,2019,173(12):1-10.
[8] 中华人民共和国国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S]. 北京:中国标准出版社,2018.
National Health and Family Planning Commission of the People's Republic of China. Screening for overweight and obesity among school-age children and adolescents:WS/T 586-2018 [S]. Beijing:Standards Press of China,2018.
[9] 胡佳,沈蕙,尹洁云. 苏州市儿童青少年身高别血压筛查简表的效果评价[J]. 中国儿童保健杂志,2021,29(2):124-128.
HU J,SHEN H,YIN J Y.Validation of a simplified height-specific blood pressure table for screening high blood pressure among children and adolescents in Suzhou[J]. Chin J Child Health Care,2021,29(2):124-128.
[10] 胡佳,韩迪,海波,等. 基于中国高血压防治指南的简化方法筛查苏州市儿童青少年血压偏高的效果[J]. 中华疾病控制杂志,2021,25(6):739-744.
HU J,HAN D,HAI B,et al.Evaluation of simplified methods based on 2018 Chinese guidelines for the management of hyper-tension for screening high blood pressure among children and adolescents in Suzhou[J]. Chin J Dis Control Prev,2021,25(6):739-744.
[11] ZHANG Q,YANG L L,ZHANG Y Q,et al.Hypertension prevalence based on three separate visits and its association with obesity among Chinese children and adolescents[J]. Front Pediatr,2019,7:1-7.
[12] 张肖笑,熊丰,朱岷,等. 重庆市6~18岁儿童高血压现状分析[J]. 重庆医学,2016,45(14):1951-1953.
ZHANG X X,XIONG F,ZHU M,et al.An investigation of the prevalence situation of hypertension among children from 6 to 18 years old in Chongqing[J]. Chongqing Med,2016,45(14):1951-1953.
[13] MENG L,LIANG Y,LIU J,et al.Prevalence and risk factors of hypertension based on repeated measurements in Chinese children and adolescents[J]. Blood Press,2013,22(1):59-64.
[14] CHIOLERO A,CACHAT F,BURNIER M,et al.Prevalence of hypertension in schoolchildren based on repeated measurements and association with overweight[J]. J Hypertens,2007,25(11):2209-2217.
[15] 俞自强,张茜,张艳青,等. 基于非同日三时点筛查儿童高血压的单中心研究[J]. 中华预防医学杂志,2020,54(12):1453-1456.
YU Z Q,ZHANG Q,ZHANG Y Q,et al.Prevalence of pediatric hypertension during three separate visits based on one center cross-sectional study[J]. Chin J Prev Med,2020,54(12):1453-1456.
[16] SUN J,STEFFEN L M,MA C,et al.Definition of pediatric hypertension: are blood pressure measurements on three separate occasions necessary?[J]. Hypertens Res,2017,40(5):496-503.
[17] DONG Y,JAN C,ZOU Z,et al.Effect of overweight and obesity on high blood pressure in Chinese children and adolescents[J]. Obesity(Silver Spring),2019,27(9):1503-1512.
[18] 龚静,赵一鸣,卫理,等. 初三学生肥胖与血压的相关性研究[J]. 预防医学,2021,33(3):303-305.
GONG J,ZHAO Y M,WEI L,et al.Relationship between obesity and blood pressure among ninth grade students[J]. Prev Med,2021,33(3):303-305.
[19] 羊柳,马传伟,赵敏,等. 基于非同日三时点筛查的儿童高血压率及其与肥胖的关系[J]. 中华流行病学杂志,2020,41(9):1445-1449.
YANG L,MA C W,ZHAO M,et al.Detection of hypertension based on measurements at three occasions in different days and its relationship with obesity in children[J]. Chin J Epidemiol,2020,41(9):1445-1449.
[20] 张莹,王培安,刘兆琴,等. 徐州地区青少年中学生高血压流行病学调查[J]. 中华高血压杂志,2021,29(7):661-667.
ZHANG Y,WANG P A,LIU Z Q,et al.Epidemiological survey of hypertension among adolescents in Xuzhou,China[J]. Chin J Hypertens,2021,29(7):661-667. |
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